Person who experienced the adverse event (patient)
| Event ID | CASE | I F COD | FOLL SEQ | IMAGE | EVENT DT | MFR DT | FDA DT | REPT COD | MFR NUM | MFR SNDR | AGE | AGE COD | GNDR COD | E SUB | WT | WT COD | REPT DT | OCCP COD | DEATH DT | TO MFR | CONFID | REPORTER COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4504194 | 5685046 | I | 4504194-9 | 20041103 | 20041117 | EXP | 2004-11-0005 | IVAX RESEARCH, INC. | 69 | YR | F | N | 20041103 | MD |
Drug(s) used by person
| Event ID | DRUG SEQ | ROLE COD | DRUGNAME | VAL VBM | ROUTE | DOSE VBM | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4504194 | 1005397763 | PS | PACLITAXEL | 1 | INTRAVENOUS | INTRAVENOUS | Y | D | 75184 | ||
| 4504194 | 1005438470 | C | CARBOPLATIN | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4504194 | 1005397763 | LUNG ADENOCARCINOMA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4504194 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4504194 | CUTANEOUS LUPUS ERYTHEMATOSUS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4504194 | HP |
| 4504194 | LIT |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4504194 | 1005397763 | 20030701 |